Provider Demographics
NPI:1922176544
Name:DEFEE, JOHN F (LCP)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:DEFEE
Suffix:
Gender:M
Credentials:LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:416 LAWYERS RD NW
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4174
Mailing Address - Country:US
Mailing Address - Phone:703-281-7916
Mailing Address - Fax:
Practice Address - Street 1:12011 GOVERNMENT CENTER PKWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22035-1100
Practice Address - Country:US
Practice Address - Phone:703-324-7093
Practice Address - Fax:703-324-7092
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000734103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical